Korean J Gastrointest Endosc > Volume 37(5); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(5): 380-383.
궤양성 대장염에서 발생한 양성 대장 협착의 치료적 풍선 확장술 1예
이준영ㆍ이석호ㆍ김상필ㆍ박진우ㆍ이창균ㆍ박지영ㆍ정일권ㆍ김선주
순천향대학교 의과대학 천안병원 소화기내과학교실
A Case of Benign Colonic Stricture Treated by Therapeutic Balloon Dilatation in Ulcerative Colitis
Jun Young Lee, M.D., Suck-Ho Lee, M.D., Sang Pil Kim, M.D., Jin Woo Park, M.D., Chang Kyun Lee, M.D., Ji-Young Park, M.D., Il-Kwun Chung, M.D. and Sun-Joo Kim, M.D.
Department of Internal Medicine, Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea
Abstract
Ulcerative colitis produces repeated improvements and relapses of chronic colonic inflammation. Complications of the disease can include bleeding, toxic megacolon, colon cancer, or colon stricture. While colonic strictures are common in Crohn's disease, this complication rarely appears in ulcerative colitis cases. Unlike in Crohn's disease, where strictures are commonly treated by endoscopic balloon dilatation, surgical management is the basis for treatment of strictures in ulcerative colitis because malignant strictures are common and because the stricture region is generally wide. We report the case of a patient who presented with decreased stool caliber while undergoing treatment for ulcerative colitis. We performed therapeutic balloon dilatation in this patient with a benign stricture caused by ulcerative colitis and experienced improvement of symptoms. (Korean J Gastrointest Endosc 2008;37: 380-383)
Key Words: Ulcerative colitis, Stricture, Balloon dilatation
주요어: 궤양성 대장염, 협착, 풍선 확장술
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